A nurse is caring for a client who has throat cancer and is receiving radiation therapy. The client reports nausea, stomatitis, and weight loss. Which of the following dietary interventions should the nurse recommend?
Increase intake of liquids at mealtime.
Serve foods hot.
Consume foods high in fat content.
Select foods high in protein.
The Correct Answer is D
Throat cancer and radiation therapy can cause various side effects, including nausea, stomatitis (inflammation of the mouth), and weight loss. In this situation, it is important to focus on nutritional support and addressing the client's symptoms.
Selecting foods high in protein is recommended for this client. Protein is essential for tissue repair and maintaining muscle mass, which is crucial for recovery and preventing further weight loss. Foods high in protein include lean meats, poultry, fish, dairy products, eggs, legumes, and tofu. The nurse can work with a registered dietitian to develop a meal plan that incorporates protein-rich foods while considering the client's preferences and any specific dietary restrictions.
Regarding the other options:
● Increase intake of liquids at mealtime: While it is important for the client to maintain hydration, increasing liquid intake at mealtime may contribute to a feeling of fullness and exacerbate nausea. It is generally recommended to consume liquids between meals rather than with meals.
● Serve foods hot: Serving foods hot may not directly address the client's symptoms. The temperature of the food is unlikely to alleviate nausea, stomatitis, or weight loss.
● Consume foods high in fat content: Foods high in fat content may be difficult to tolerate for a client experiencing nausea and stomatitis. Additionally, focusing on increasing protein intake is generally a higher priority than increasing fat intake for a client experiencing weight loss
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Corn: Corn is a gluten-free grain and can be included in a gluten-free diet for individuals with celiac disease.
Wheat germ: Wheat germ is derived from wheat and contains gluten. Therefore, it should be avoided by individuals with celiac disease.
Salami: Salami is a processed meat product that may contain gluten-containing additives or fillers. Therefore, it is important for individuals with celiac disease to carefully read the ingredient labels of processed meat products or opt for certified gluten-free alternatives.
Barley: Barley is a gluten-containing grain and should be strictly avoided by individuals with celiac disease.
It is important for individuals with celiac disease to carefully read food labels and select gluten-free alternatives. Gluten-containing grains and their derivatives, such as wheat, barley, and wheat germ, should be avoided. Safe alternatives, such as corn, rice, quinoa, and Gluten-free oats, can be included in the diet.
Correct Answer is C
Explanation
The instruction that the nurse should include for a client with Parkinson's disease prescribed a monoamine oxidase inhibitor (MAOI) is as follows: "Avoid aged cheeses while taking this medication."
MAOIs are a class of medications used to treat Parkinson's disease by increasing the levels of certain neurotransmitters in the brain. However, they can interact with certain foods and beverages, leading to potentially dangerous side effects.
The interaction between MAOIs and aged cheeses is due to the presence of tyramine, a substance that can cause a sudden and dangerous increase in blood pressure known as a hypertensive crisis. Aged cheeses, such as cheddar, blue cheese, and feta, contain high levels of tyramine, and consuming them while taking an MAOI can lead to this hypertensive crisis.
The other options listed in the question are not directly related to the use of MAOIs in Parkinson's disease:
Eating grapefruit is typically contraindicated with certain medications, but it is not specifically relevant to MAOIs or Parkinson's disease.
Maintaining a low-protein diet is not a standard recommendation for individuals taking MAOIs or Parkinson's disease unless specifically advised by the healthcare provider.
Reducing the intake of high-calorie foods is a general recommendation for overall health and weight management but is not specifically related to the use of MAOIs or Parkinson's disease.
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